Therat Sonia, Banandur Pradeep S, Sukumar Gautham M, Shenoy Anusha B, Arvind Banavaram A, Nagaraja Srividya Rudrapattana, Rai Veeksha, Medhi Upashana, Devyani Azad
Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
J Family Med Prim Care. 2023 Nov;12(11):2827-2834. doi: 10.4103/jfmpc.jfmpc_591_23. Epub 2023 Nov 21.
Indian National Mental Health Survey reports an alarming prevalence of 20.9% for tobacco dependence in India. Dependence on smoked tobacco can be prevented by thorough knowledge of the risk factors associated with it.
To estimate the prevalence and identify the factors associated with smoked tobacco dependence among participants attending the life skills training and counselling services programme (LSTCSP) across Karnataka from 2017 to 2022.
Pretraining data of 3104 participants from training programmes between 2017 and 2022 were utilised. Univariate and multivariable logistic regression analysis was performed based on a conceptual framework with various hypothesised exposure variables and smoked tobacco dependence as outcome.
The overall prevalence of smoked tobacco dependence among LSTCSP participants who used smoked tobacco products was 59.4%. Ever use of smokeless tobacco products (Adjusted odds ratio (AOR) =2.05, 95% CI: 1.11-3.78) and screening positive for symptoms of generalised anxiety (AOR = 2.53, 95% CI: 1.32-4.84) significantly increased the odds of smoked tobacco dependence, whereas making decisions collectively in the family (AOR = 0.35, 95% CI: 0.18-0.66) and individuals with increased score for neurotic personality traits (AOR = 0.64, 95% CI: 0.44-0.93) were the factors associated with reduced odds of smoked tobacco dependence.
The identified risk factors associated with smoked tobacco dependence are important to develop tobacco control programmes as well as in preventing its onset. With the risk factors for smoked tobacco dependence identified, the results of this study have implications for health promotion and prevention programmes as well as cessation programmes related to smoked tobacco dependence, within India and similar countries.
印度国家心理健康调查显示，印度烟草依赖的患病率高达20.9%，令人担忧。深入了解与吸烟相关的风险因素，有助于预防对吸烟烟草的依赖。
评估2017年至2022年期间参加卡纳塔克邦生活技能培训与咨询服务项目（LSTCSP）的参与者中吸烟烟草依赖的患病率，并确定与之相关的因素。
利用了2017年至2022年培训项目中3104名参与者的培训前数据。基于一个包含各种假设暴露变量和吸烟烟草依赖作为结果的概念框架，进行了单变量和多变量逻辑回归分析。
在使用吸烟烟草产品的LSTCSP参与者中，吸烟烟草依赖的总体患病率为59.4%。曾经使用无烟烟草产品（调整后的优势比（AOR）=2.05，95%置信区间：1.11-3.78）和广泛性焦虑症状筛查呈阳性（AOR = 2.53，95%置信区间：1.32-4.84）显著增加了吸烟烟草依赖的几率，而在家庭中集体做决定（AOR = 0.35，95%置信区间：0.18-0.66）以及神经质人格特质得分较高的个体（AOR = 0.64，95%置信区间：0.44-0.93）是与吸烟烟草依赖几率降低相关的因素。
确定的与吸烟烟草依赖相关的风险因素对于制定烟草控制计划以及预防其发生非常重要。鉴于已确定吸烟烟草依赖的风险因素，本研究结果对印度及类似国家的健康促进和预防计划以及与吸烟烟草依赖相关的戒烟计划具有启示意义。
